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Depression After Breast Cancer Diagnosis

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Breast cancer diagnosis can lead to depression

A diagnosis of breast cancer can be a shocking and traumatic event. In addition, the road back to good health can be a long one for those facing extensive treatment for this disease. Both of these factors can lead to feelings of sadness, hopelessness and despair, which if left untreated can develop into full-fledged clinical depression. Because women need all of their energy and resources to win the fight against breast cancer, suffering from depression in addition to cancer can turn a difficult struggle into an almost-insurmountable challenge. However, effective treatment for depression is available, and no matter how dark things may seem at the lowest moments for those suffering from breast cancer and depression at the same time, brighter tomorrows are always possible.

What is depression?
Many people confuse depression with sadness. But depression is actually defined by a loss of emotion and motivation. For those suffering from depression, the world becomes a place without meaning, and things that used to bring smiles or laughter now seem pointless or empty. More than extreme sadness, depression seems to be a coping mechanism of the mind when it is overwhelmed by too much stress, fear, anger, disappointment, etc. Rather than allowing the suffering to continue, the mind simply shuts its emotional system down, leaving a hollow space where feelings used to be.

Some of the signs of clinical depression include:

  • Inability to cope
  • Panic attacks
  • Lack of energy to perform even the simplest of chores
  • Inability to take pleasure in the things that brought pleasure before
  • Sleeping problems
  • Inability to concentrate
  • Memory problems

It is estimated that 25 to 30% of all breast cancer patients will eventually manifest symptoms of depression. Unfortunately, because medical professionals assume that emotional distress is a natural companion to breast cancer, they may not be able to distinguish between depression and the normal feelings of despair that frequently strike cancer victims. This is why all breast cancer patients who are reporting symptoms of deep distress and hopelessness should be given a depression screening test. If an oncologist does not recommend this, then it may be up to patients to take the initiative themselves and contact a psychologist or psychiatrist to arrange an evaluation.

Getting treatment for depression
It is extremely important that any woman suffering from depression while undergoing treatment for breast cancer also get treatment for their psychological disorder. One study of 578 women with early-stage breast cancer and strong feelings of hopelessness consistent with depression found that survival rates and cancer recurrence rates were both negatively affected by depression. Other studies have found that women are less likely to follow recommended treatment protocols faithfully when they are suffering from the symptoms of depression. Clearly, depression is a problem for women who have breast cancer because it undermines their ability to fight against a disease that can take advantage of weakness. Women disabled by depression while fighting cancer need to attack the cause of their existential despair directly.

Fortunately, excellent treatments for depression are available. This may or may not include the use of anti-depressant drugs. However, it must always be remembered that these drugs are powerful and often have significant side effects, which is why counseling sessions with a professional plus regular attendance at support groups for those suffering from cancer is to be preferred over medication. When it comes to depression, doctors have a tendency to turn to drugs much too quickly because of the belief that they can provide fast solutions to difficult problems. But the side effects of these drugs are unpredictable, and they may interact with cancer drugs in ways that could be harmful.

For example, an extensive medical review of the cases of women who were given the chemotherapy drug tamoxifen while being treated with a popular class of anti-depressants called SSRIs revealed that breast cancer death rates were higher than normal for women who had been given this combination.

An Ohio State study published in 2009 of stage II and stage III breast cancer victims examined the effectiveness of counseling and support group therapy alone as a cure for depression. Not only did researchers discover that psychological intervention was extremely effective in treating the symptoms of depression in breast cancer patients, but they also found that therapy and peer support led to a decrease in inflammation indicators in the blood. Inflammation undermines the effectiveness of breast cancer treatment, which is why it was such a pleasing revelation to discover that psychological counseling and support had positive physiological effects in addition to its benefits for mental health.

Brighter tomorrows await
Breast cancer accompanied by depression is a double-edged sword, and it is important that any woman suffering from both at the same time not neglect treatment for either. Good mental health and a positive attitude are very important in the fight against breast cancer, which is why any breast cancer patient experiencing symptoms consistent with depression needs to be screened by a psychological professional as soon as possible. Help for depression is available, and for breast cancer patients getting that help could literally be a matter of life and death.

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